Annie Nichole Laweryson, PH.D., MS

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PY61123471 Issued in WA

Practice address

5224 Olympic Dr Ste 108
Gig Harbor, WA 98335-1792

Phone

(253) 528-3242

Fax

(253) 357-0835

NPI assigned

May 25, 2017

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Mar 6, 2024 through Mar 6, 2028

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science, Doctor of Philosophy

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1495670400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776556800000",
    "number": "1548798200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5224 OLYMPIC DR STE 108",
            "city": "GIG HARBOR",
            "state": "WA",
            "postal_code": "983351792",
            "telephone_number": "253-528-3242",
            "fax_number": "253-357-0835"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5224 OLYMPIC DR STE 108",
            "city": "GIG HARBOR",
            "state": "WA",
            "postal_code": "983351792",
            "telephone_number": "253-528-3242",
            "fax_number": "253-357-0835"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAWERYSON",
        "first_name": "ANNIE",
        "middle_name": "NICHOLE",
        "name_prefix": "Dr.",
        "credential": "PH.D., MS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-05-25",
        "last_updated": "2026-04-19",
        "certification_date": "2026-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "WA",
            "license": "PY61123471",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2160714",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Laser Cosmetic Wellnes Center
• Tonya M Laslo, PHARMD.
• Eric Clyde Lauer, PAC
• Lauren Parker Wellness PLLC
• Imka Lavinder, DO
• Danielle Faye Lawson, L.M.P.
• Jonathan Lawson
• Trina J. Leaf, P.T.
• Kristen Leahy
• Michelle Lynn Learned, COTA/L

• Clinical Psychologist in Gig Harbor, WA
• Providers in Gig Harbor, WA by specialty
• Clinical Psychologist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.